The gonorrhea rate in New Madrid County is about 16% higher than the national average. If you live in Parma, Missouri and wonder whether you have symptoms or just want peace of mind, your testing options are flexible. You may prefer clinics that accept walk-ins for same-day testing, or labs and at-home kits that let you plan around your own time. Explore the options below.
Available testing centers
6 testing options are listed for Parma, MO. The nearest, Poplar Bluff Regional Medical Center, is about 8.9 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
A safety-net rural health clinic about 9 miles from Parma. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
SEMO Health Network in Bernie tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers. Appointments are required, same-visit treatment is available for bacterial infections, and Spanish-language care is on staff.
SEMO Health Network runs herpes and hepatitis A, B, and C testing within the same appointment as gonorrhea, chlamydia, syphilis, and HIV: meaning a single visit produces a more complete picture, and you leave with fewer gaps that would otherwise require a separate encounter to fill.
Spanish at SEMO Health Network in Bernie is handled through clinical staff, not routed through an add-on service, so the counseling, exposure history, and treatment instructions happen in Spanish as a direct exchange between provider and patient, with the same clinical precision as any other appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A safety-net rural health clinic about 9 miles from Parma. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 9 miles away; if you'd rather skip the trip, an at-home kit ships to Parma, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best range: couples & full panels
$79 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Local clinicians
Beyond dedicated clinics, 85 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Parma. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 22 offer telehealth.
John Hunt, MD
Family medicine · 806 North Douglas Street, Malden
Naser Almasalmeh, MD
Internal medicine · 100 North Main Street, Gideon
Stephen Nagy
Internal medicine · 1212 Saint Francis Drive, Dexter
Rodney Rubi, MD
Internal medicine · 1200 North One Mile Road, Dexter
Jefferydon Coon, DO
Internal medicine · 1200 North One Mile Road, Dexter
Edward Reese, MD
Family medicine · 1300 North One Mile, Dexter
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Parma, MO publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Mitchell Drug of Malden
8.9 miNorrids City Drug
8.9 mi
8.9 mi Wilkare Pharmacy
9.1 mi
9.1 mi Showing the 5 closest pharmacies to Parma, MO.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Parma, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in New Madrid County, the county that includes Parma, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#7 of 115 Missouri counties for chlamydia, a higher rate than 94% of the state
| Infection | New Madrid County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 583.5 90 cases ▲ 17% | 498.6 | 492.2 |
| Gonorrhea | 207.5 32 cases ▲ 3% | 201.9 | 179.5 |
| Syphilis (P&S) | 84.3 13 cases ▲ 292% | 21.5 | 15.8 |
| Syphilis (early) | 19.5 3 cases ▲ 57% | 12.4 | 16 |
| Syphilis (late/unknown) | 90.8 14 cases ▲ 169% | 33.8 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in New Madrid County, chlamydia has fallen from 590.2 to 583.5 per 100,000 (1%), gonorrhea has fallen from 480.7 to 207.5 per 100,000 (57%), and P&S syphilis has risen from 12.2 to 84.3 per 100,000 (591%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in New Madrid County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
New Madrid County HIV care continuum (2021)
New Madrid County recorded 0 new HIV diagnoses per 100,000 (2021), against 10.6 statewide and 13.7 nationally. Among New Madrid County residents living with HIV, 89.5% are in care · 78.9% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for New Madrid County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
People move to Parma for work in the timber and agricultural trades, or to be near family roots that run deep in New Madrid County. That shift (leaving behind whoever knew you growing up, building a life where you're still figuring out who you are) often coincides with a time when knowing your STI status stops being abstract and becomes practical. Testing in and around Parma is listed on this page, and it's designed to stay confidential; the results don't ripple back into your workplace or your family network unless you choose to share them. A young adult in Parma faces the particular texture of a small place: the clinic staff might be someone's cousin, the waiting room might hold a neighbor. That reality doesn't change what matters, getting tested when you need to, but it does mean finding a provider who understands that privacy isn't negotiable.
Clinics serving Parma take that seriously, keeping records separate and conversations quiet. Routine screening is straightforward: you go, you get tested, you get results on a timeline that works for you. Whether you're new to the area or have been here your whole life, the clinics available in and around Parma operate without judgment. Knowing your status is the kind of thing you handle for yourself, on your own terms.
Getting there
At 6.22/20 on the EPA walkability index, day-to-day errands in Parma generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 63870 snapshot
ZIP-level Census figures for the wider 63870 area around Parma: a single ZIP can span several communities, so they describe the area, not Parma alone.
Nearby cities & towns
Just outside Parma? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in New Madrid County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Parma-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Parma often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Missouri law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in MissouriSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Poplar Bluff Regional Medical Center, about 8.9 mi away, with 3 options within 30 miles.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
New Madrid County reported ~584 chlamydia cases per 100,000 in 2023, above the Missouri average.
At-home kits mail to 63870: self-collect, send to the lab, results in ~2–5 days.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
No, symptoms mean test now; the window period only applies to symptom-free screening.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.